General E.N.T . Evaluation in Head Injury Cases With Special Reference T O Temporal Bone Injury

Abstract

Road side accidents was the most common cause (55percent) followed by assault (11percent) and agricultural (9percent), incidences. Audiological assessment showed 39 patients having hearing loss (28 conductive, 7mixed and 4 sensory neural). Temporal bone fractures were in 17 cases (14 longitudinal; 3 transverse). Laceration of pinna and external auditory canal was present in 13 patients. 2 cases were having pre-auricular and post -auricular abrasions. The rupture of tympanic membrane was found in 15 cases and csf otorrohea in 3cases. The facial nerve damage or injury was found in 6 patients (3 longitudinal fractures; 2 transverse fractures; one patient had partial paralysis due to fracture of lateral orbital wall with mandible) whereas two patients had mastoid tenderness. MATERIALS AND METHODS: The study was conducted at ENT department of AVBRH Sawangi (Meghe), Wardha about 100 cases of head injuries admitted in surgical ward of AVBRH Sawangi (meghe), Wardha. Detailed clinical history would be taken and E.N.T examination was done and recorded on a performa (Annexure1). A detailed neurological examination in each case including the cranial nerve functions, gait tests and appropriate cerebeller function tests were taken. All the conscious patients was subjected to Tuning fork tests and pure tone auditory and impedence auditory whether indicated. Radiological investigation of each patient were reviewed and finally the findings obtained was compiled.